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Affidavit for Mechanics' Lien

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Affidavit for Mechanics' Lien Powered By Docstoc
					This Affidavit for Mechanics' Lien is an affidavit in which the affiant (contractor,
subcontractor or laborer) seeks to guarantee payment for contracted services rendered
on an improved piece of property by securing an interest against the particular parcel of
real estate for the value of the services and materials that have not paid. It contains
information necessary for the affidavit to be filed to place a lien on the property including
the amount due, a description of the property and the dates the work was performed.
This document should be used by an individual who has performed services on a
property and has not received payment.
                        AFFIDAVIT FOR MECHANICS' LIEN

State of ________________________________,
County of ______________________________,

ss: ____________________________________,
whose address is_________________________, being first duly sworn, says that
________________________________ [NAME OF LIENOR], the lienor, provided certain
material or performed certain labor hereinafter described, pursuant to a certain contract dated the
__________ day of __________, _____ with ____________ [NAME OF OWNER], the owner,
part owner, lessee, original contractor, subcontractor, or other person, as the case may be, whose
address is _________________________ [ADDRESS OF OWNER]
The first of the labor or work was performed or material was furnished on the __________ day
of __________, _____. The last of the labor or work was performed or material was furnished
on the __________ day of __________, _____, and there is justly and truly due the lienor,
therefor from the owner, part owner, lessee, original contractor, subcontractor, or other person,
as the case may be, over and above all legal setoffs, the sum of __________ [AMOUNT IN
WORDS] dollars ($_________ [AMOUNT IN NUMERALS]), for which amount the lienor,
claims a lien on the land, building, or leasehold, of which ____________ [NAME OF OWNER]
is or was the owner, part owner, or lessee, as the case may be, which property is described as
follows:

[LEGAL DESCRIPTION OF THE PROPERTY]



________________________________
Affiant

STATE OF ___________
COUNTY OF __________
Before me, a notary public, in and for said County, personally appeared above named
___________________________________________________________________
who acknowledge that ________did sign the foregoing instrument and that the same is ______
free act.

In testimony whereof I have hereunto set my hand and official seal, this ______ day of
_______________, ____.

______________________________

Notary Public
My commission expires:___________
This instrument was prepared by:
___________________________


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DOCUMENT INFO
Description: This Affidavit for Mechanics' Lien is an affidavit in which the affiant (contractor, subcontractor or laborer) seeks to guarantee payment for contracted services rendered on an improved piece of property by securing an interest against the particular parcel of real estate for the value of the services and materials that have not paid. It contains information necessary for the affidavit to be filed to place a lien on the property including the amount due, a description of the property and the dates the work was performed. This document should be used by an individual who has performed services on a property and has not received payment.
This document is also part of a package Real Estate Forms for your Business 46 Documents Included